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Exam (elaborations)

NUR 4827 HESSI TOLDER IMPORTANT{QUESTION AND ANSWERS}

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Toddlers A nurse bases the plan of care for a 15-month-old toddler with celiac disease on the pathophysiology of the disorder, which is characterized by an: Inability to metabolize gluten A parent tells a nurse at the clinic, "Each morning I offer my 24-month-old juice, and all I hear is 'No.' What should I do? I know she needs fluid!" What is the best response by the nurse? Offer the child a choice of two juices. Antibiotic prophylaxis is prescribed for a 2-year-old child with a cardiac malformation who is awaiting corrective surgery. The nurse explains to the child's parents that the antibiotic will prevent: Subacute bacterial endocarditis A nurse is teaching dietary management to the parents of a toddler who is undergoing chelation therapy to treat lead poisoning. What should be included in the discussion of the dietary plan? Ensuring adequate fluid intake A toddler who was physically abused is admitted to the pediatric unit. What behavior does the nurse expect when approaching the child? Exhibiting fear of physical contact initiated by anyone A nurse is observing two 18-month-old children playing side by side in a sandbox. Although they watch each other, neither interacts with the other. What type of play does the nurse identify? Parallel A nurse is caring for a toddler who has undergone bone marrow transplantation. What clinical finding(s) should the nurse anticipate if an infection develops? Fever and lethargy An 18-month-old toddler requires an intramuscular injection. As the nurse enters the room with the medication, the child begins to scream and flail about on the bed. The father is sitting at the child's bedside and gets up to leave. What action should the nurse take to best handle this situation? Ask the father to stay to comfort the child while the injection is being given. How should a nurse respond to parents who are concerned about separation anxiety in their 15-month-old toddler? This is an expected developmental reaction." A 3-year-old child ingests a substance that may be a poison. The parent calls a neighbor who is a nurse and asks what to do. What is the best response by the nurse? Call the Poison Control Center. What does a nurse identify as the priority short-term goal for a toddler with dehydration caused by diarrhea? Improvement of fluid balance A mother tells her neighbor, a nurse, that her toddler has been found to have parasites (worms) and that the whole family will need to be treated. She asks the nurse what kind of worm it is. What is the most likely type of worm infestation? Pinworm (Enterobius) The mother of a 2-year-old child tells the nurse that she is concerned about her child's vision. What behavior when the child is tired leads the nurse to suspect strabismus? One eye moves inward

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